Syringa Family Partnership, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

SYRINGA FAMILY PARTNERSHIP, LLC

Practice address

3650 N Government Way
Suite L
Coeur D Alene, ID 83815-8331

Phone

(208) 676-1693

Fax

(208) 676-1030

NPI assigned

Aug 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Colleen Irene Sisk, BSW

Title

Owner / Director

Phone

(208) 771-1551

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1962658500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838350844",
            "telephone_number": "208-771-1551",
            "fax_number": "208-676-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N GOVERNMENT WAY",
            "address_2": "SUITE L",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158331",
            "telephone_number": "208-676-1693",
            "fax_number": "208-676-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRINGA FAMILY PARTNERSHIP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SISK",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "IRENE",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "208-771-1551",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Swift, OTR/L
• Amanda Swindoll, LMSW
• Shahla Firdos Syed, MD
• Russell David Symbal, R.PH., BCPP
• Symphony Dso
• Mary T Szymanski, ARNP
• Michael Edward Szymanski, ARNP
• Nikole Arrotta Tabaracci, ARNP
• Brian Kevin Taft, PAC
• Virginia Taft, OTR-L

• Early Intervention Provider Agency in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Early Intervention Provider Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.